Provider Demographics
NPI:1639610082
Name:IVY ROAD FAMILY SOLUTIONS
Entity Type:Organization
Organization Name:IVY ROAD FAMILY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:434-566-0104
Mailing Address - Street 1:2125 IVY RD STE B
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-1766
Mailing Address - Country:US
Mailing Address - Phone:202-780-7845
Mailing Address - Fax:
Practice Address - Street 1:2125 IVY RD STE B
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-1766
Practice Address - Country:US
Practice Address - Phone:202-780-7845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-18
Last Update Date:2017-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006975101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty